N163 Ch. 9 (with A+ Graded solutions)

What action by the nurse is most important for preventing hospital-acquired infections in the older population? a. Appropriate hand hygiene b. Rapid isolation for infection c. Strict sterile procedures d. Ensuring patient nutrition correct answers ANS: A Hand hygiene is the most effective infection control action the nursing staff can take. The nurse on a medical acute care unit is preparing for the admission of an 84-year-old patient with several diagnosed chronic illnesses. The nurse begins the plan of care for this patient based on the understanding that the older adult is likely to: a. develop hospital-induced delirium. b. require special attention related to sensory deficits. c. need a social services consult before discharge. d. present with a need for a high level of nursing care. correct answers ANS: D The older adult is not likely to be admitted to the hospital until a high level of acuity or complications exists. The other options may be possible, but the majority of older patients are admitted at a high level of acuity. The nurse is planning the discharge of a 70-year-old patient who lives alone and is recovering from a fractured ankle. What action by the nurse shows an understanding of factors affecting the patients ultimate return to pre-injury function? a. Encourages the patient to comply with recommendations made by the physical therapist b. Arranges for the patients meals to be delivered daily for several weeks after discharge c. Assesses the barriers to self-ambulation that exist in the patients home d. Educates the patient on the importance of a diet that promotes both bone and muscle healing correct answers ANS: C In the hospital setting, health care professionals can become so involved in addressing the acute condition that they fail to appreciate the underlying problems and how these too influence the